TARA REAGAN PSY.D. L.M.H.C.A. NPI 1255753166

NPI Information

NPI: 1255753166
Provider Name: TARA REAGAN, PSY.D., L.M.H.C.A.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
149 NORTH ST
WATERVILLE, ME
ZIP 04901
Phone: (207) 872-4303
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Tara Reagan, PSY.D., L.M.H.C.A. is a mental health counselor in Waterville, ME. Tara Reagan, PSY.D., L.M.H.C.A. NPI is 1255753166. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

149 NORTH ST
WATERVILLE, ME
ZIP 04901-974
Phone: (207) 872-4303

The NPI 1255753166 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 1/11/2014 and was last updated on 12/4/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	MC60427973	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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